Spontaneous uterine rupture during the 1st trimester: A rare but life-threatening emergency

Abstract

Figure 1. Laparoscopic view of fundal uterine rupture. J Obstet Gynaecol Downloaded from informahealthcare.com by Yale Dermatologic Surgery on 12/26/14 For personal use only.

First Trimester Spontaneous Uterine Rupture in a Young Woman with Uterine Anomaly

“…First and early second trimester UURs are very rare, and there are only a few cases in literature describing first and early second trimester UURs [4–7]. In our case, UUR occurred in the twelfth week of pregnancy.…”

Spontaneous hemopertitoneum – a matter of life and death

“…The rarer forms of ectopic pregnancy (lower segment scar, cornual and interstitial) can be more difficult to recognise and therefore delay diagnosis. There has also been a report of a spontaneous uterine rupture 4 …”

Uterine Rupture in Early Pregnancy

“…4 Although the majority of cases occur in late gestation, mainly during TOLAC, very few reports have described its occurrence in the first and second trimesters of pregnancy, whether in scarred but also (rarely) in unscarred uteri. 9,10,13 Besides cesarean section, hysteroscopic resection of uterine septum, myomectomy, and cornual resection or iatrogenic uterine perforation were described as other risk factors for early uterine rupture. Other less common causes include multiparity, placenta increta, congenital anomalies, trauma and medical assisted pregnancy with embryo transfer.…”

“…8 First and second trimester uterine ruptures are very unusual. 9,10 The first report of a spontaneous early pregnancy scar rupture was published in 1982 in Denmark. 11 Although early uterine rupture is associated with high maternal and fetal morbidity and mortality, there are few case reports of conservative managment of the uterine defect with successful outcome.…”